In 2011-2012 we provided anesthesia care for more than 5500 children (including 150 neonates). Our team includes 8 pediatric anesthesia faculty (most are fellowship trained) and 3 CRNAs. The variety of medical and surgical diseases encountered in our patient population provides residents to a wide spectrum of patient care challenges from healthy children having outpatient procedures to premature neonates undergoing complex surgical procedures. The care of these patients extends from the preoperative evaluation and education of the family to intraoperative planning and patient management to postoperative patient care (including pain management). The UI provides anesthesia care to children for both diagnostic and therapeutic procedures from all specialties including pediatric general surgery, urology, neurosurgery, orthopedics, cardiac, ENT, ophthalmology, burns and satellite cases. Pediatric cases are performed in the Main OR, Ambulatory Surgery Center, and satellite locations (such as radiology, dermatology, cardiac cath lab and radiation therapy). Residents are exposed to regional techniques in the pediatric population and receive advanced airway training to handle difficult pediatric airways.
The University of Iowa has a well-established anesthesia-supervised nurse sedation program. Therefore, it is possible for interested residents to participate in a pediatric sedation rotation. Senior residents also have the opportunity to participate in an international mission trip with a pediatric anesthesiologist.
Apart from their direct patient care and teaching responsibilities, the faculty is involved in several clinical studies. One interesting example is the study evaluating the neurodevelopmental effects of exposure to anesthesia at an early age. Residents are encouraged to participate in our ongoing projects.
Finally, a new children’s hospital is being constructed on the UIHC campus. Plans include 8 new pediatric operating rooms, a 5-room procedural sedation suite, and 2 pediatric cath labs. We hope to be working in the new facility during 2015-2016.